A heat and moisture-exchanging mask impairs self-paced maximal running performance in a sub-zero environment

• Published in: European journal of applied physiology Vol. 121; no. 7; pp. 1979 - 1992
• Main Authors: Tutt, Alasdair S., Persson, Hampus, Andersson, Erik P., Ainegren, Mats, Stenfors, Nikolai, Hanstock, Helen G.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 2021; Springer Nature B.V; Springer
• Subjects: Asthma; Biomedical and Life Sciences; Biomedicine; Body mass; Cold; Cold environment; Cross country skiing; Exercise-induced bronchoconstriction; Fitness equipment; Health care; Health sciences; Heart rate; Heat; Human Physiology; Idrettsmedisinske fag: 850; Lactic acid; Medical disciplines: 700; Medisinske Fag: 700; NIRS; Occupational Medicine/Industrial Medicine; Original; Original Article; Oxygenation; Physical training; Physiology; Respiration; Running; Spectroscopy; Spectrum analysis; Sports Medicine; Sports medicine: 850; Thorax; Variance analysis; VDP; Winter sports; NIRS; Cold environment; Exercise-induced bronchoconstriction; Winter sports; Cross-country skiing
• ISSN: 1439-6319; 1439-6327; 1439-6327
• DOI: 10.1007/s00421-021-04666-9

Purpose Heat-and-moisture-exchanging devices (HME) are commonly used by endurance athletes during training in sub-zero environments, but their effects on performance are unknown. We investigated the influence of HME usage on running performance at − 15 °C. Methods Twenty-three healthy adults (15 male, 8 female; age 18–53 years; V ˙ O 2 p e a k men 56 ± 7, women 50 ± 4 mL·kg −1 ·min −1 ) performed two treadmill exercise tests with and without a mask-style HME in a randomised, crossover design. Participants performed a 30-min submaximal warm-up (SUB), followed by a 4-min maximal, self-paced running time-trial (TT). Heart rate (HR), respiratory frequency ( f R ), and thoracic area skin temperature ( T sk ) were monitored using a chest-strap device; muscle oxygenation (SmO 2 ) and deoxyhaemoglobin concentration ([HHb]) were derived from near-infra-red-spectroscopy sensors on m. vastus lateralis ; blood lactate was measured 2 min before and after the TT. Results HME usage reduced distance covered in the TT by 1.4%, despite similar perceived exertion, HR, f R , and lactate accumulation. The magnitude of the negative effect of the HME on performance was positively associated with body mass ( r 2  = 0.22). SmO 2 and [HHb] were 3.1% lower and 0.35 arb. unit higher, respectively, during the TT with HME, and T sk was 0.66 °C higher during the HME TT in men. HR (+ 2.7 beats·min −1 ) and T sk (+ 0.34 °C) were higher during SUB with HME. In the male participants, SmO 2 was 3.8% lower and [HHb] 0.42 arb. unit higher during SUB with HME. Conclusion Our findings suggest that HME usage impairs maximal running performance and increases the physiological demands of submaximal exercise.