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Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic

INTRODUCTION: Countries are mandating the use of face masks to stem the spread of coronavirus disease 2019 (COVID-19). Face mask use has been associated with discomfort due to its effects on thermoregulation, breathing and oxygenation. We evaluated the prevalence and severity of self-reported cardio...

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Autores principales: Chew, Nicholas Wen Sheng, Wong, Raymond Ching Chiew, Djohan, Andie Hartanto, Ngiam, Jinghao Nicholas, Chai, Ping, Yeo, Tiong-Cheng, Tan, Huay-Cheem, Sia, Ching-Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10645009/
https://www.ncbi.nlm.nih.gov/pubmed/34600453
http://dx.doi.org/10.11622/smedj.2021140
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author Chew, Nicholas Wen Sheng
Wong, Raymond Ching Chiew
Djohan, Andie Hartanto
Ngiam, Jinghao Nicholas
Chai, Ping
Yeo, Tiong-Cheng
Tan, Huay-Cheem
Sia, Ching-Hui
author_facet Chew, Nicholas Wen Sheng
Wong, Raymond Ching Chiew
Djohan, Andie Hartanto
Ngiam, Jinghao Nicholas
Chai, Ping
Yeo, Tiong-Cheng
Tan, Huay-Cheem
Sia, Ching-Hui
author_sort Chew, Nicholas Wen Sheng
collection PubMed
description INTRODUCTION: Countries are mandating the use of face masks to stem the spread of coronavirus disease 2019 (COVID-19). Face mask use has been associated with discomfort due to its effects on thermoregulation, breathing and oxygenation. We evaluated the prevalence and severity of self-reported cardiovascular symptoms before and during face mask use. METHODS: This was a cross-sectional study of 1,001 participants residing in Singapore, who participated in a self-administered questionnaire between 25 April 2020 and 4 May 2020. Symptom severity before and during mask use, and health-seeking behaviour information were collected. The study outcome was self-reported worsening of cardiovascular symptoms and its association with the type of mask worn, duration of mask worn per day, and intensity of physical activities during mask use. RESULTS: The most common symptom reported during mask use was dyspnoea. Independent predictors for self-reported cardiovascular symptoms during mask use were moderate–high physical activity during mask use (odds ratio [OR] 1.634, 95% confidence interval [CI] 1.176–2.270, P = 0.003), duration of mask use for ≥3 h (OR 1.672, 95% CI 1.189–2.352, P = 0.003) and type of mask used, after adjusting for age, sex, healthcare-based worker status and presence of comorbidities. N95 mask was associated with worse symptoms when compared to surgical mask. Participants with ≥3 worsening symptoms or worsening dyspnoea, palpitations, fatigue and dizziness were more likely to seek medical help. CONCLUSION: Face mask use has been proven to be an effective way in curbing COVID-19 transmission. However, participants in this study had concerns regarding its use and these concerns should be urgently addressed to enable mask use policies to be enacted.
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spelling pubmed-106450092023-11-15 Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic Chew, Nicholas Wen Sheng Wong, Raymond Ching Chiew Djohan, Andie Hartanto Ngiam, Jinghao Nicholas Chai, Ping Yeo, Tiong-Cheng Tan, Huay-Cheem Sia, Ching-Hui Singapore Med J Original Article INTRODUCTION: Countries are mandating the use of face masks to stem the spread of coronavirus disease 2019 (COVID-19). Face mask use has been associated with discomfort due to its effects on thermoregulation, breathing and oxygenation. We evaluated the prevalence and severity of self-reported cardiovascular symptoms before and during face mask use. METHODS: This was a cross-sectional study of 1,001 participants residing in Singapore, who participated in a self-administered questionnaire between 25 April 2020 and 4 May 2020. Symptom severity before and during mask use, and health-seeking behaviour information were collected. The study outcome was self-reported worsening of cardiovascular symptoms and its association with the type of mask worn, duration of mask worn per day, and intensity of physical activities during mask use. RESULTS: The most common symptom reported during mask use was dyspnoea. Independent predictors for self-reported cardiovascular symptoms during mask use were moderate–high physical activity during mask use (odds ratio [OR] 1.634, 95% confidence interval [CI] 1.176–2.270, P = 0.003), duration of mask use for ≥3 h (OR 1.672, 95% CI 1.189–2.352, P = 0.003) and type of mask used, after adjusting for age, sex, healthcare-based worker status and presence of comorbidities. N95 mask was associated with worse symptoms when compared to surgical mask. Participants with ≥3 worsening symptoms or worsening dyspnoea, palpitations, fatigue and dizziness were more likely to seek medical help. CONCLUSION: Face mask use has been proven to be an effective way in curbing COVID-19 transmission. However, participants in this study had concerns regarding its use and these concerns should be urgently addressed to enable mask use policies to be enacted. Wolters Kluwer - Medknow 2021-10-03 /pmc/articles/PMC10645009/ /pubmed/34600453 http://dx.doi.org/10.11622/smedj.2021140 Text en Copyright: © 2023 Singapore Medical Journal https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Chew, Nicholas Wen Sheng
Wong, Raymond Ching Chiew
Djohan, Andie Hartanto
Ngiam, Jinghao Nicholas
Chai, Ping
Yeo, Tiong-Cheng
Tan, Huay-Cheem
Sia, Ching-Hui
Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic
title Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic
title_full Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic
title_fullStr Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic
title_full_unstemmed Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic
title_short Association of face mask use with self-reported cardiovascular symptoms during the COVID-19 pandemic
title_sort association of face mask use with self-reported cardiovascular symptoms during the covid-19 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10645009/
https://www.ncbi.nlm.nih.gov/pubmed/34600453
http://dx.doi.org/10.11622/smedj.2021140
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