2021
DOI: 10.1016/j.chest.2020.09.088
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Cardiopulmonary Exercise and the Risk of Aerosol Generation While Wearing a Surgical Mask

Abstract: Cardiopulmonary exercise training is associated with improvements in health-related quality-of-life, physical function, and overall mortality rates in patients with cardiovascular or pulmonary disease. 1,2 Currently, many structured cardiopulmonary exercise training programs are running at limited operational capacity or are closed due to an increased concern of possible spread of severe acute respiratory syndrome coronavirus 2 through droplet and aerosol generation that could occur with exercise. 2,3 In the c… Show more

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Cited by 18 publications
(28 citation statements)
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“…This finding seems contradictory to their findings among healthy volunteers. 4 Aside from the lack of pulmonary disease as a pathophysiologic explanation, the small sample size (n ¼ 4) of the healthy volunteer study may explain those results. In fact, Blocken et al 6 implemented a study with 35 healthy volunteers who exercised without wearing a mask in a 866 m 3 gym.…”
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confidence: 92%
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“…This finding seems contradictory to their findings among healthy volunteers. 4 Aside from the lack of pulmonary disease as a pathophysiologic explanation, the small sample size (n ¼ 4) of the healthy volunteer study may explain those results. In fact, Blocken et al 6 implemented a study with 35 healthy volunteers who exercised without wearing a mask in a 866 m 3 gym.…”
mentioning
confidence: 92%
“…12 However, the aerosol particle concentrations that are generated by the healthy population during exercise with face masks in the gym and the safe number of individuals to be allowed inside the room remains to be investigated, especially as a larger amount of bacteria were observed in the room air of gym facilities that had a smaller space between individuals. 13 Undoubtly, the two studies conducted by Helgeson et al 4,5 in healthy volunteers and patients reinforce this need.…”
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confidence: 96%
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“…It has been suggested that vigorous exercise such as performed during clinical exercise testing, generates aerosols with potential for carrying COVID-19. 1 The Centers for Disease Control and Prevention recommends that aerosol-generating procedures be performed with appropriate personal protection equipment and, when possible, in negative pressure rooms to allow clearance of aerosols through room air exchanges by increasing room ventilation with or without the use of high-efficiency particulate air (HEPA) filters. 2…”
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confidence: 99%