Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
Sağlıklı Erişkin Erkeklerde Şiddeti Artan Egzersiz Sırasında Tıbbi Maske Kullanımının Kalp Atım Hızı, Egzersiz Süresi ve Egzersiz Zorluk Algısına Etkisi: Randomize Klinik Çalışma
Effect of Medical Mask Use During Increased Exercise Intensity on Heart Rate, Exercise Duration and Perceived Exertion in Healthy Adult Men: Randomized Clinical Trial
Kutlu AYDINa, Ümid KARLIa, Kerim SÖZBİRa, Tuğba KOCAAĞAa
aBolu Abant İzzet Baysal Üniversitesi Spor Bilimleri Fakültesi, Antrenörlük Eğitimi Bölümü Hareket ve Antrenman Bilimleri ABD, Bolu, TÜRKİYE
Turkiye Klinikleri J Sports Sci. 2021;13(3):434-41
doi: 10.5336/sportsci.2021-83737
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, tıbbi maskenin şiddeti artan egzersiz sırasında sağlıklı sedanter erkek erişkinlerde kalp atım hızı (KAH), egzersiz süresi, maksimum egzersiz şiddeti ve egzersiz zorluk algısına etkisinin araştırılmasıdır. Gereç ve Yöntemler: Araştırmaya düzenli fiziksel aktivite yapmayan sağlıklı 13 erkek gönüllü olarak katılmıştır. Katılımcılar rastgele çapraz deney deseni doğrultusunda tıbbi maskeli ve maskesiz olarak Balke koşu bandı test protokolünü uygulamıştır. Balke koşu bandı test protokolü aşamalarında elde edilen KAH ve algılanan zorluk derecesi verileri, toplam egzersiz süresi, ulaşılan maksimum egzersiz şiddeti ve maksimum KAH verileri değerlendirmeye alınmıştır. Bulgular: Maskesiz ile karşılaştırıldığında tıbbi maske ile elde edilen toplam egzersiz süresi (z=-3,180; p=0,001), ulaşılan maksimum egzersiz şiddeti (z=-3,077; p=0,002) ve maksimum KAH değerlerinde (t=3,022; p=0,011) anlamlı düşüş bulunmuştur. Tekrarlanan ölçümlerde çift yönlü varyans analizine göre KAH değerlerinde zamanlar arasında anlamlı fark tespit edilirken (F(6-72)=263,930; p=0,001; kısmi η2 =0,957), denemeler arası fark (F(1-12)=1,094; p=0,316; kısmi η2 =0,084) ve deneme zaman etkileşimi istatistiksel olarak anlamlı (F(6-72)=1,373; p=0,237; kısmi η2=0,103) bulunmamıştır. Algılanan zorluk derecesi denemeler arasında (F(1-12)=31,467; p=0,001; kısmi η2 =0,724) ve zamanlar arasında (F(6-72)=192,802; p=0,001; kısmi η2 =0,941) anlamlı fark tespit edilmiştir. Ek olarak deneme zaman etkileşimi de istatistiksel olarak anlamlı (F(6-72)=7,530; p=0,001; kısmi η2 =0,386) bulunmuştur. Sonuç: Tıbbi maske kullanımı toplam egzersiz süresinde düşüşe neden olurken, algılanan zorlukta artışa neden olmuştur. Ayrıca ulaşılabilen maksimum KAH değerleri de maskesiz denemeye göre daha düşük bulunmuştur. Bu nedenle koronavirüs hastalığı-2019 salgını sırasında, spor yapmak isteyen kişilere tıbbi maske takmanın sportif performans üzerindeki etkilerini dikkate alarak egzersiz yapmaları önerilebilir.

Anahtar Kelimeler: Algılanan zorluk derecesi; COVID-19; maksimum kalp atım hızı; tıbbi maske; Balke koşu bandı testi
ABSTRACT
 Objective: The aim of this study was to investigate the effect of medical mask on heart rate (HR), exercise duration, maximum exercise intensity and perceived exertion in healthy sedentary male adults during incremental exercise. Material and Methods: In a randomized crossover design, thirteen healthy adult males performed Balke treadmill test protocol (BTTP) with and without a medical mask. HR values, perceived exertion data, total exercise duration, achieved maximum exercise intensity and maximum HR data obtained during the stages of the BTTP were used for evaluation. Results: Significant reduction was found in total exercise duration (z=-3.180; p=0.001), maximum exercise intensity (z=-3.077; p=0.002) and maximum HR values (t=3.022; p=0.011) obtained with medical mask compared to without medical mask. While a significant difference was determined between the times according to the HR values (F(6-72)=263.930; p=0.001; partial η2 =0.957), no significant difference was indicated between the trials (F(1-12)=1.094; p=0.316; partial η2 =0.084) and trial-time interaction (F(6-72)=1.373; p=0.237; partial η2 =0.103). A significant difference was found between trials (F(1-12)=31.467; p=0.001; partial η2 =0.724) and times (F(6-72)=192.802; p=0.001; partial η2 =0.941) in rating of perceived exertion. In addition, the trial-time interaction was statistically significant (F(6-72)=7,530; p=0.001; partial η2 =0.386). Conclusion: The use of medical masks caused a decrease in total exercise time and an increase in perceived exertion. In addition, achieved maximum HR values were also found lower than the trial without mask. Individuals who wants to do sports during the coronavirus disease-2019 epidemic may be advised to exercise taking into account the effects of wearing medical masks on sportive performance.

Keywords: Rating of perceived exertion; COVID-19; maximum heart rate; medical mask; Balke treadmill test
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