Akwagiobe F Odey, Iwara I Arikpo, Joshua Meremikwu, Mavis A Otonkue, Nkwachukwu N Chukwu, Freedman Ita-Lincoln
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引用次数: 0
摘要
背景：现有证据支持所有人群使用面罩来预防呼吸道感染，尤其是严重急性呼吸系统综合征冠状病毒 2（SARS-CoV-2）。目的：评估不同类型的面罩对不同体育锻炼时的血氧饱和度、摄氧量、感觉用力率和表现的影响：设置：医疗数据库：我们搜索了 2020 年至 2022 年 9 月 5 日期间发表的文章。年龄、语言或环境不限。电子数据库包括 Cochrane Library - Central Register of Controlled Trials 和 Cochrane Database of systematic review and EPOC；MEDLINE；EMBASE，我们检索了上述期间的文章。使用针对 RCT 的 Cochrane 偏倚风险工具对纳入研究的偏倚风险进行了评估：共纳入 24 项采用交叉设计的随机对照试验。共有 617 名参与者（373 名男性和 244 名女性）。没有一项研究报告了戴口罩预防 SARS-CoV-2 感染的情况。综合效果估计显示，佩戴外科口罩不会影响血氧饱和度和摄氧量。轻度和中度运动时可耐受口罩，但会降低最大运动能力。儿童比成人更能耐受亚极限运动时佩戴口罩：结论：在体育锻炼中，健康成人和儿童应谨慎使用面罩，但老年人和病人应避免使用面罩：本综述提供了体育锻炼期间面罩耐受性的最新证据。
Tolerability of facemask during physical exercises during COVID-19 pandemic: A systematic review.
Background: Available evidence supports the use of facemasks by all groups to prevent respiratory infections, particularly severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, it is not clear whether these masks can be used safely during various intensities of physical exercise.
Aim: To evaluate the impact of different types of facemasks on oxygen saturation, oxygen uptake, rate of perceived exertion and performance during different physical exercises.
Setting: Healthcare databases.
Method: We searched for articles published between 2020 to 05 September 2022. There was no restriction in age, language or setting. Electronic databases including The Cochrane Library - Central Register of Controlled Trials and Cochrane Database of systematic review and EPOC; MEDLINE; EMBASE were searched for articles for the period stated above. Risk of Bias in included studies was assessed using Cochrane risk of bias tool for RCTs.
Results: Twenty-four randomised control trials with cross-over design were included. There was a total of 617 participants (373 males and 244 females). None of studies reported on prevention of SARS-CoV-2 infection by mask. The pooled effect estimate shows that wearing surgical mask did not affect oxygen saturation and oxygen uptake. Masks are tolerated during mild and moderate exercise, but reduce maximal exercise capacity. Children tolerate masks for submaximal exercise better than adults.
Conclusion: During physical exercises, masks should be used with caution by healthy adults and children but should be avoided by elderly and ill patients.
Contribution: This review offers current evidence on tolerability of facemask during physical exercises.
期刊介绍：
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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