Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic

Objective: To evaluate whether the use of a surgical and N95 mask for overweight and obese children was associated with respiratory distress. Methods: We enrolled 15 healthy and 14 overweight or obese children. We performed two sessions: one wearing a surgical, the other an N95 mask. We tracked chan...

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Main Authors: Riccardo Lubrano, Silvia Bloise, Mariateresa Sanseviero, Alessia Marcellino, Claudia Proietti Ciolli, Enrica De Luca, Alessia Testa, Anna Dilillo, Saverio Mallardo, Sara Isoldi, Vanessa Martucci, Emanuela Del Giudice, Rita Leone, Donatella Iorfida, Flavia Ventriglia
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/7/1053
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author Riccardo Lubrano
Silvia Bloise
Mariateresa Sanseviero
Alessia Marcellino
Claudia Proietti Ciolli
Enrica De Luca
Alessia Testa
Anna Dilillo
Saverio Mallardo
Sara Isoldi
Vanessa Martucci
Emanuela Del Giudice
Rita Leone
Donatella Iorfida
Flavia Ventriglia
author_facet Riccardo Lubrano
Silvia Bloise
Mariateresa Sanseviero
Alessia Marcellino
Claudia Proietti Ciolli
Enrica De Luca
Alessia Testa
Anna Dilillo
Saverio Mallardo
Sara Isoldi
Vanessa Martucci
Emanuela Del Giudice
Rita Leone
Donatella Iorfida
Flavia Ventriglia
author_sort Riccardo Lubrano
collection DOAJ
description Objective: To evaluate whether the use of a surgical and N95 mask for overweight and obese children was associated with respiratory distress. Methods: We enrolled 15 healthy and 14 overweight or obese children. We performed two sessions: one wearing a surgical, the other an N95 mask. We tracked changes in partial pressure of end-tidal carbon dioxide (PETCO2), oxygen saturation (SaO2), pulse rate (PR), and respiratory rate (RR) during a 72 min test: 30 min without a mask, 30 min wearing a mask, and then during a 12 min walking test. Results: In healthy children, there was no significant change in SaO2 and PETCO2 during the study; there was a significant increase in PR and RR after the walking test with both the masks. In overweight or obese children, there was no significant change in SaO2 during the study period; there was a significant increase in PETCO2 as fast as wearing the mask and an increase in PETCO2, PR, and RR after walking test. After the walking test, we showed a significant correlation between PETCO2 and body mass index. Conclusion: Overweight or Obese children who wear a mask are more prone to developing respiratory distress, which causes them to remove it frequently. In a crowded environment, they are at greater risk of infection. For this reason, it is desirable that they attend environments where everyone uses a mask.
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spelling doaj.art-fd45b22863be4fe09bd1a509beaa5ad92023-11-30T23:00:03ZengMDPI AGChildren2227-90672022-07-0197105310.3390/children9071053Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 PandemicRiccardo Lubrano0Silvia Bloise1Mariateresa Sanseviero2Alessia Marcellino3Claudia Proietti Ciolli4Enrica De Luca5Alessia Testa6Anna Dilillo7Saverio Mallardo8Sara Isoldi9Vanessa Martucci10Emanuela Del Giudice11Rita Leone12Donatella Iorfida13Flavia Ventriglia14Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyDipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia-Polo Pontino, 04100 Latina, ItalyObjective: To evaluate whether the use of a surgical and N95 mask for overweight and obese children was associated with respiratory distress. Methods: We enrolled 15 healthy and 14 overweight or obese children. We performed two sessions: one wearing a surgical, the other an N95 mask. We tracked changes in partial pressure of end-tidal carbon dioxide (PETCO2), oxygen saturation (SaO2), pulse rate (PR), and respiratory rate (RR) during a 72 min test: 30 min without a mask, 30 min wearing a mask, and then during a 12 min walking test. Results: In healthy children, there was no significant change in SaO2 and PETCO2 during the study; there was a significant increase in PR and RR after the walking test with both the masks. In overweight or obese children, there was no significant change in SaO2 during the study period; there was a significant increase in PETCO2 as fast as wearing the mask and an increase in PETCO2, PR, and RR after walking test. After the walking test, we showed a significant correlation between PETCO2 and body mass index. Conclusion: Overweight or Obese children who wear a mask are more prone to developing respiratory distress, which causes them to remove it frequently. In a crowded environment, they are at greater risk of infection. For this reason, it is desirable that they attend environments where everyone uses a mask.https://www.mdpi.com/2227-9067/9/7/1053childrenobesityCOVID-19respiratory functionprevention
spellingShingle Riccardo Lubrano
Silvia Bloise
Mariateresa Sanseviero
Alessia Marcellino
Claudia Proietti Ciolli
Enrica De Luca
Alessia Testa
Anna Dilillo
Saverio Mallardo
Sara Isoldi
Vanessa Martucci
Emanuela Del Giudice
Rita Leone
Donatella Iorfida
Flavia Ventriglia
Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic
Children
children
obesity
COVID-19
respiratory function
prevention
title Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic
title_full Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic
title_fullStr Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic
title_full_unstemmed Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic
title_short Assessment of Cardio-Respiratory Function in Overweight and Obese Children Wearing Face Masks during the COVID-19 Pandemic
title_sort assessment of cardio respiratory function in overweight and obese children wearing face masks during the covid 19 pandemic
topic children
obesity
COVID-19
respiratory function
prevention
url https://www.mdpi.com/2227-9067/9/7/1053
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