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Wearing a cloth face mask has been shown to impair exercise performance; it is essential to understand the impact wearing a cloth face mask may have on cognitive performance. Participants completed two maximal cardiopulmonary exercise tests on a cycle ergometer (with and without a cloth face mask) with a concurrent cognitive task. Blood pressure, heart rate, oxygen saturation, perceived exertion, shortness of breath, accuracy, and reaction time were measured at rest, during each exercise stage, and following a 4-minute recovery period. The final sample included 35 adults (age = 26.1 ± 5.8 years; 12 female/23 male). Wearing a cloth face mask was associated with significant decreases in exercise duration (−2:00 ± 3:40 min,  P  = 0.003), peak measures of maximal oxygen uptake (−818.9 ± 473.3 mL/min, −19.0 ± 48 mL·min -1 ·kg -1 ,  P  &lt; 0.001), respiratory exchange ratio (−0.04 ± 0.08,  P  = 0.005), minute ventilation (−36.9 ± 18 L/min), oxygen pulse (−3.9 ± 2.3,  P  &lt; 0.001), heart rate (−7.9 ± 12.6 bpm,  P  &lt; 0.001), oxygen saturation (−1.5 ± 2.8%,  P  = 0.004), and blood lactate (−1.7 ± 2.5 mmol/L,  P  &lt; 0.001). While wearing a cloth face mask significantly impaired exercise performance during maximal exercise testing, cognitive performance was unaffected in this selected group of young, active adults.

Effects of cloth face masks on physical and cognitive performance during maximal exercise testing