4.5 Article

Sustained exercise load by young adult females while wearing surgical mask raises core body temperature measured with zero-heat-flux thermometer

Journal

INTERNATIONAL JOURNAL OF BIOMETEOROLOGY
Volume 67, Issue 8, Pages 1345-1352

Publisher

SPRINGER
DOI: 10.1007/s00484-023-02501-8

Keywords

Core body temperature; Surgical mask; Constant exercise load; Zero-heat-flux thermometer

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This study investigated the changes in core body temperature during exercise with and without wearing a surgical mask. The results showed that wearing a mask led to significant increases in body temperature, heart rate, and facial humidity, but not in average skin temperature. These findings suggest that wearing a mask during exercise can increase body temperature and intensity, and the use of a zero-heat-flux thermometer is safe and reliable for such studies. However, further research is needed to examine gender and age group differences, as well as the effects of different exercise methods and environmental conditions.
When a pandemic such as that caused by the novel coronavirus disease termed COVID-19 emerges, it is recommended to wear a mask when in public situations, with information regarding the impact on thermoregulation essential, especially during exercise or hard physical labor. The present study investigated changes in core body temperature (CBT) while wearing a surgical mask (SM) during exercise (T-CBT) using a non-invasive zero-heat-flux (ZHF) thermometer. Nine young adult females performed ergometer exercise for 30 min at 60 W with (mask group) and without (control) a SM under a non-hot condition, shown by wet bulb globe temperature (WBGT) findings. T-CBT, mean skin temperature (T-MST), heart rate (HR), and humidity in the perioral region of the face (%RH) were determined. Each of those markers showed increased values during exercise, with the increases in T-CBT, HR, and %RH, but not T-MST, during exercise found to be significantly greater in the mask group. HR reserve (%HRR), derived as load intensity during exercise, was also significantly higher in the mask group. Each subject completed all of the experimental protocols without noting pain or discomfort. These results suggest that wearing a SM while performing mild exercise contributes to increased T-CBT associated with increased exercise intensity, expressed as %HRR in a non-heated condition. Furthermore, the ZHF thermometer was shown to be safe and is considered useful for conducting such studies(.) Additional examinations will be necessary to examine gender and age group differences, as well as the use of different exercise methods and intensity and ambient conditions.

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