Effects of wearing a KF94 face mask on performance, perceptual parameters, and physiological responses during resistance exercise

Phys Act Nutr. 2024 Sep;28(3):17-26. doi: 10.20463/pan.2024.0019. Epub 2024 Sep 30.

Abstract

Purpose: Wearing face masks in indoor public places, including fitness centers, is an effective strategy for preventing the airborne transmission of viruses. Despite this, limited research has addressed the effects of wearing a mask during resistance exercise, which is primarily performed in indoor fitness centers. This study investigated the effects of wearing a KF94 face mask on exercise volume, perceptual parameters, and cardiorespiratory and cardiovascular responses during resistance exercise.

Methods: Twenty young men (23.8 ± 0.5 years old) participated in this randomized crossover trial. The participants performed moderate-intensity resistance exercise (60% of 1RM) sessions under two different conditions (KF94 mask vs. no mask). Cardiorespiratory parameters, exercise volume, rating of perceived exertion (RPE), and dyspnea were measured. Blood lactate concentration, blood pressure, arterial stiffness, and perceptual parameters were measured pre- and post-exercise.

Results: Wearing the KF94 mask significantly reduced exercise volume, ventilation volume, and ventilation efficiency compared to exercising without a mask (p < 0.05). Although blood lactate concentration remained unchanged between the two conditions, RPE and dyspnea were significantly higher with the KF94 mask (p < 0.01). Central arterial stiffness post-exercise was significantly higher with the KF94 mask than without it (p < 0.01).

Conclusion: Wearing a KF94 face mask during resistance exercise affected exercise volume, perceptual parameters, and cardiorespiratory and cardiovascular responses. These findings suggest that coaches and trainers should consider the individual characteristics when designing exercise prescriptions and modifying resistance exercise variables while wearing KF94 masks.

Keywords: COVID-19; KF94 mask; arterial stiffness; cardiorespiratory response; discomfort; resistance exercise; sarcopenia.