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体育锻炼过程中呼出气体和气溶胶的传播

The Spread of Exhaled Air and Aerosols during Physical Exercise.

作者信息

Alsaad Hayder, Schälte Gereon, Schneeweiß Mario, Becher Lia, Pollack Moritz, Gena Amayu Wakoya, Schweiker Marcel, Hartmann Maria, Voelker Conrad, Rossaint Rolf, Irrgang Matthias

机构信息

Department of Building Physics, Faculty of Civil Engineering, Bauhaus-University Weimar, 99423 Weimar, Germany.

Department of Anesthesiology, Medical Faculty, University Hospital RWTH Aachen, 52074 Aachen, Germany.

出版信息

J Clin Med. 2023 Feb 6;12(4):1300. doi: 10.3390/jcm12041300.

DOI:10.3390/jcm12041300
PMID:36835835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9961458/
Abstract

Physical exercise demonstrates a special case of aerosol emission due to its associated elevated breathing rate. This can lead to a faster spread of airborne viruses and respiratory diseases. Therefore, this study investigates cross-infection risk during training. Twelve human subjects exercised on a cycle ergometer under three mask scenarios: no mask, surgical mask, and FFP2 mask. The emitted aerosols were measured in a grey room with a measurement setup equipped with an optical particle sensor. The spread of expired air was qualitatively and quantitatively assessed using schlieren imaging. Moreover, user satisfaction surveys were conducted to evaluate the comfort of wearing face masks during training. The results indicated that both surgical and FFP2 masks significantly reduced particles emission with a reduction efficiency of 87.1% and 91.3% of all particle sizes, respectively. However, compared to surgical masks, FFP2 masks provided a nearly tenfold greater reduction of the particle size range with long residence time in the air (0.3-0.5 μm). Furthermore, the investigated masks reduced exhalation spreading distances to less than 0.15 m and 0.1 m in the case of the surgical mask and FFP2 mask, respectively. User satisfaction solely differed with respect to perceived dyspnea between no mask and FFP2 mask conditions.

摘要

由于体育锻炼会使呼吸频率升高,所以它是气溶胶排放的一种特殊情况。这可能会导致空气传播病毒和呼吸道疾病传播得更快。因此,本研究调查了训练期间的交叉感染风险。12名受试者在三种口罩佩戴情况下,即在不戴口罩、佩戴外科口罩和佩戴FFP2口罩的情况下,在自行车测力计上进行锻炼。在一个配备了光学粒子传感器测量装置的灰色房间里测量所排放的气溶胶。使用纹影成像对呼出空气的扩散进行了定性和定量评估。此外,还进行了用户满意度调查,以评估训练期间佩戴口罩的舒适度。结果表明,外科口罩和FFP2口罩均显著减少了颗粒物排放,所有粒径的减少效率分别为87.1%和91.3%。然而,与外科口罩相比,FFP2口罩对空气中停留时间长的粒径范围(0.3 - 0.5μm)的减少幅度几乎大了十倍。此外,对于所研究的口罩,外科口罩和FFP2口罩分别将呼气扩散距离减少到小于0.15米和0.1米。用户满意度仅在不戴口罩和佩戴FFP2口罩两种情况下的呼吸困难感受方面存在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/5be2ede6e04f/jcm-12-01300-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/bd381678707d/jcm-12-01300-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/48564de41dd1/jcm-12-01300-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/615a44e6db4f/jcm-12-01300-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/6e80b048cc08/jcm-12-01300-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/274277e1051f/jcm-12-01300-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/d68ace01b56f/jcm-12-01300-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/f3b34d525964/jcm-12-01300-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/d0a9e38654a8/jcm-12-01300-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/2f8c2e6a690e/jcm-12-01300-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/5be2ede6e04f/jcm-12-01300-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/bd381678707d/jcm-12-01300-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/48564de41dd1/jcm-12-01300-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/615a44e6db4f/jcm-12-01300-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/6e80b048cc08/jcm-12-01300-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/274277e1051f/jcm-12-01300-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/d68ace01b56f/jcm-12-01300-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/f3b34d525964/jcm-12-01300-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/d0a9e38654a8/jcm-12-01300-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/2f8c2e6a690e/jcm-12-01300-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/9961458/5be2ede6e04f/jcm-12-01300-g008.jpg

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本文引用的文献

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Effects of Wearing a Mask During Exercise on Physiological and Psychological Outcomes in Healthy Individuals: A Systematic Review and Meta-Analysis.运动时戴口罩对健康个体生理和心理结果的影响:系统评价和荟萃分析。
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Aerosol particle emission increases exponentially above moderate exercise intensity resulting in superemission during maximal exercise.在中等运动强度以上,气溶胶颗粒的排放呈指数级增加,导致最大运动时的超排放。
Proc Natl Acad Sci U S A. 2022 May 31;119(22):e2202521119. doi: 10.1073/pnas.2202521119. Epub 2022 May 23.
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Influence of wearing masks on exhaled air aerodynamics.
佩戴口罩对呼出空气空气动力学的影响。
J Med Eng Technol. 2022 Apr;46(3):231-242. doi: 10.1080/03091902.2022.2026507. Epub 2022 Feb 18.
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Impact of respirator versus surgical masks on SARS-CoV-2 acquisition in healthcare workers: a prospective multicentre cohort.医用口罩和呼吸器对医护人员感染 SARS-CoV-2 的影响:一项前瞻性多中心队列研究。
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Aerosol Generation During Exercise: Implications for Preventing Viral Transmission In and Out of the Exercise Laboratory.运动期间的气溶胶生成:对预防运动实验室内外病毒传播的启示。
Chest. 2021 Oct;160(4):1174-1176. doi: 10.1016/j.chest.2021.05.065.
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Efficacy of facemasks in mitigating respiratory exposure to submicron aerosols.口罩对亚微米气溶胶呼吸暴露的防护效果。
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Sports Health. 2021 Sep-Oct;13(5):463-470. doi: 10.1177/19417381211028212. Epub 2021 Jul 1.