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Updated: Nov 11, 2025

Field-Based Thermal Physiology Assay: Cold Shock Recovery under Ambient Conditions
Published on: March 9, 2021
A heat and moisture-exchanging mask impairs self-paced maximal running performance in a sub-zero environment
Alasdair S Tutt1, Hampus Persson2, Erik P Andersson1,3
1Department of Health Sciences, Swedish Winter Sports Research Centre, Mid Sweden University, Studentplan 4, 831 40, Östersund, Sweden.
Heat-and-moisture-exchanging devices (HME) reduce endurance running performance in cold environments by 1.4%. HME usage also increases physiological strain during submaximal exercise, impacting athletes training in sub-zero temperatures.
Area of Science:
- Exercise Physiology
- Environmental Extremes
- Sports Science
Background:
- Heat-and-moisture-exchanging devices (HME) are utilized by endurance athletes in cold conditions.
- The impact of HME on athletic performance in sub-zero temperatures remains largely uninvestigated.
Purpose of the Study:
- To determine the effect of HME use on running performance at -15°C.
- To assess physiological responses during exercise with and without HME in the cold.
Main Methods:
- A randomized crossover design was employed with 23 healthy adults performing treadmill tests.
- Participants completed a submaximal warm-up and a maximal running time-trial with and without a mask-style HME.
- Physiological variables including heart rate, respiratory frequency, skin temperature, muscle oxygenation, and blood lactate were monitored.
Main Results:
- HME use decreased running distance by 1.4% during the time-trial, with no difference in perceived exertion, heart rate, or lactate.
- Muscle oxygenation decreased and deoxyhemoglobin increased with HME use during maximal exercise.
- Submaximal exercise with HME showed elevated heart rate and skin temperature, particularly in male participants.
Conclusions:
- HME usage negatively impacts maximal running performance in cold environments.
- HME use increases the physiological demands of submaximal exercise for endurance athletes.
- Athletes should consider the potential performance detriments and increased physiological strain when using HME in sub-zero conditions.
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