Wearing a KN95/FFP2 Facemask Has Subtle Effects on Functional Salience Network Interaction

Abstract

BackgroundWide use of wearing a facemask is one of the many consequences of the COVID-19 pandemic. We used resting-state fMRI to search for subtle changes in brain functional connectivity, expected notably related to the high-level salience (SN) and default mode networks (DMN).Materials and MethodsProspective crossover design resting fMRI study with/without wearing a tight FFP2/KN95 facemask, including 24 consecutive male participants (mean age ± SD = 29.9 ± 6.9 years) at 3T. As physiological parameters, respiration frequency and heart rate were monitored. Data analysis was performed using the CONN toolbox.ResultsWearing an FFP2/KN95 facemask did not impact respiration or heart rate but resulted in a significant reduction in functional connectivity between the SN as the seed region and the left middle frontal and precentral gyrus. No difference was found when the DMN, sensorimotor, visual, dorsal attention or language networks were used as seed regions.ConclusionsThe wearing of tight FFP2/KN95 facemasks in men decreases the functional connectivity of the SN, which is known to be involved in communication, social behavior and self-awareness. This phenomenon was confined to the left frontal and precentral gyrus. Our results imply that the wearing of a facemask could impact our ability to detect and react appropriately to salient stimuli by altering the functional connectivity of the SN.