Impact of wearing different facial masks on respiratory symptoms, oxygen saturation, and functional capacity during six-minute walk test (6MWT) in healthy young adults

Dacha, Sauwaluk; Chuatrakoon, Busaba; Sornkaew, Kanphajee; Sutthakhun, Kamonchanok; Weeranorapanich, Putsamon

doi:10.1183/13993003.congress-2021.oa1183

Cited by 3 publications

(4 citation statements)

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“…The current data on the use of face masks in children support previous research in adults, as shown by Dacha and colleagues [ 29 ], who demonstrated no effects of facemask use on respiratory variables other than respiratory effort. Similarly, Poncin et al [ 30 ] showed no difference in heart rate, respiratory rate, and SpO2 during a submaximal exercise test in healthy adults.…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2023

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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 V˙O2peak 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.

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Section: Discussionsupporting

confidence: 90%

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

et al. 2023

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“…There was also a strong positive correlation in the same direction (r sp = 0.937, p < 0.001) between the 6MWD results and the use of any of the three mask-type scenarios. These findings are consistent with other studies that showed there were no statistically significant differences in the 6MWD when wearing an N95 [10][11][12][13] , surgical face mask [11][12][13][14][15] , or cloth mask. 11,13 Furthermore, it was found that wearing or not wearing a mask did not result in a difference of more than 30 meters in the 6MWD, which is clinically significant for diagnosing, predicting, and monitoring individuals with chronic lung diseases.…”

Section: Six-minute Walk Distancesupporting

confidence: 92%

“…These findings are consistent with other studies that showed there were no statistically significant differences in the 6MWD when wearing an N95 [10][11][12][13] , surgical face mask [11][12][13][14][15] , or cloth mask. 11,13 Furthermore, it was found that wearing or not wearing a mask did not result in a difference of more than 30 meters in the 6MWD, which is clinically significant for diagnosing, predicting, and monitoring individuals with chronic lung diseases. 10,[16][17] Oxygen saturation There was no significant difference in the SpO 2 levels when wearing the N95, double surgical face masks, or cloth mask over a surgical face mask combination during the 6MWT test.…”

Section: Six-minute Walk Distancesupporting

confidence: 92%

Effect of Wearing a Face Mask on the 6-Minute Walk Test in Healthy Volunteers

Promsarn,

Rattanasaengloet,

Pipopsuthipaiboon

et al. 2023

Siriraj Med J

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Objective: This study aimed to examine the influence of wearing different types of face masks on the results of the 6-Minute Walk Test (6MWT) in a cohort of healthy volunteers. Materials and Methods: Volunteers were partitioned into three groups (each comprising 36 individuals) with different mask-wearing conditions: NIOSH-approved N95 mask, and double-mask scenarios featuring two layers of surgical mask, and a combination of a surgical mask covered by a cloth face mask. Each participant performed two rounds of the 6MWT, one while wearing a mask and another without. Various metrics, such as the six-minute walk distance (6MWD), oxygen saturation (SpO2), and dyspnea and fatigue scores, were measured. Results: No significant differences were found in the 6MWD results between the mask-wearing and non-mask-wearing scenarios across all the mask types.Strong positive correlations were also established between the 6MWD results in the mask-wearing and non-mask-wearing conditions. However, a small cohort experienced dyspnea significantly more when wearing double surgical masks compared to not wearing a mask. Additionally, there were no major deviations in SpO2 levels or fatigue scores regardless of the type of mask used. Conclusion: The study indicated that wearing an N95 mask, or double surgical masks, or cloth-over-surgical face masks did not significantly influence the outcomes of the 6MWT in healthy individuals. However, caution is advised in the case of wearing double surgical masks, as this may induce a greater sense of dyspnea. This suggests that face masks can be worn safely during physical fitness and pulmonary function assessments, aligning with their essential role in viral spread prevention in daily life.

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“…Dacha presented that no significant differences were observed in dyspnoea, oxygen saturation and functional performance during submaximal functional tasks when wearing different facial masks; however, some masks (e.g. cloth masks) resulted in more breathing effort in comparison to no mask ( p=0.001) or a surgical mask ( p=0.012) [36]. Lastly, A. Oliveira provided qualitative evidence (semi-structured interviews with patients, healthcare professionals and policy makers) that rapid access rehabilitation after AECOPD is well accepted by the different stakeholders [37].…”

Section: Take-home Messagesmentioning

confidence: 93%

European Respiratory Society International Congress 2021: highlights from best-abstract awardees

Ramakrishnan

Beaufils

Brandt

et al. 2022

Breathe

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Impact of wearing different facial masks on respiratory symptoms, oxygen saturation, and functional capacity during six-minute walk test (6MWT) in healthy young adults

Cited by 3 publications

References 0 publications

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

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

Effect of Wearing a Face Mask on the 6-Minute Walk Test in Healthy Volunteers

European Respiratory Society International Congress 2021: highlights from best-abstract awardees

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