Effect of wearing personal protective clothing and self-contained breathing apparatus on heart rate,temperature and oxygen consumption during stepping exercise and live fire training exercises

Fire fighter breathing apparatus instructors (BAIs) must possess the ability to respond to both the extrinsic stress of a high temperature environment and the intrinsic stress from wearing personal protective equipment (PPE) and self-contained breathing apparatus (SCBA), repeatedly and regularly, whilst training recruits in live fire training exercises (LFTEs). There are few previous investigations on BAIs in hot environments such as LFTEs, since the main research focus has been on regular fire fighters undertaking exercises in temperate or fire conditions at a moderate to high exercise intensity. In this study, the intrinsic cardiovascular stress effects of wearing PPE + SCBA were first investigated using a step test whilst wearing gym kit (control), weighted gym kit (a rucksack weighted to the equivalent of PPE + SCBA) and full PPE + SCBA (weight plus the effects of protective clothing). The extrinsic effects of the very hot environment were investigated in BIAs in LFTEs compared to mock fire training exercises (MFTEs), where the fire was not ignited. There was an increase in heart rate due to the modest workload imposed on the BAIs through carrying out the MFTEs (25.0 (18.7)%) compared to resting. However, when exposed to fire during the LFTEs, heat storage appears to be significant as the heart rate increased by up to 39.8 (±20.1)% over that of the mock LFTEs at temperate conditions. Thus, being able to dissipate heat from the PPE is particularly important in reducing the cardiovascular responses for BAIs during LFTEs.     

Effect of wearing personal protective clothing and self-contained breathing apparatus on heart rate, temperature and oxygen consumption during stepping exercise and live fire training exercises

Fire fighter breathing apparatus instructors (BAIs) must possess the ability to respond to both the extrinsic stress of a high temperature environment and the intrinsic stress from wearing personal protective equipment (PPE) and self-contained breathing apparatus (SCBA), repeatedly and regularly, whilst training recruits in live fire training exercises (LFTEs). There are few previous investigations on BAIs in hot environments such as LFTEs, since the main research focus has been on regular fire fighters undertaking exercises in temperate or fire conditions at a moderate to high exercise intensity. In this study, the intrinsic cardiovascular stress effects of wearing PPE + SCBA were first investigated using a step test whilst wearing gym kit (control), weighted gym kit (a rucksack weighted to the equivalent of PPE + SCBA) and full PPE + SCBA (weight plus the effects of protective clothing). The extrinsic effects of the very hot environment were investigated in BIAs in LFTEs compared to mock fire training exercises (MFTEs), where the fire was not ignited. There was an increase in heart rate due to the modest workload imposed on the BAIs through carrying out the MFTEs (25.0 (18.7)%) compared to resting. However, when exposed to fire during the LFTEs, heat storage appears to be significant as the heart rate increased by up to 39.8 (+/-20.1)% over that of the mock LFTEs at temperate conditions. Thus, being able to dissipate heat from the PPE is particularly important in reducing the cardiovascular responses for BAIs during LFTEs.     

Effects of firefighters' self-contained breathing apparatus' weight and its harness design on the physiological and subjective responses

To examine the effects of firefighters' self-contained breathing apparatus' (SCBA) weight and its harness design on the physiological and subjective responses, eight male students performed treadmill exercise under four conditions: the 8 kg firefighter protective clothing (PC) (Control), the PC + an 11 kg SCBA with an old harness (Test A), the PC + a 6.4 kg SCBA with an old harness (Test B) and the PC + a 6.4 kg SCBA with a new harness (Test C), at ambient temperatures (T(a)) of 22°C and 32°C. Besides highlighting the fact that a heavy SCBA had a significant effect on the oxygen consumption and metabolic rate, this experiment also found that in a T(a) of 32°C, in particular, the combined effect of 4.7 kg lighter SCBA and new harness design could reduce metabolic rate and improved subjective muscle fatigue and thermal discomfort. PRACTITIONER SUMMARY: An effort to alleviate the physiological and subjective burden of firefighters by reducing the weight of SCBA and by using the new harness design has provided satisfactory results in reduced oxygen consumption and in improved subjective responses in a hot air environment.     

An evaluation of physiological demands and comfort between the use of conventional and lightweight self-contained breathing apparatus.

The additional physiological strain associated with the use of self-contained breathing apparatus (SCBA) is mostly linked to the additional weight. Lightweight and conventional SCBA were assessed in a submaximal step test performed in full firekit (total weights 15 and 27 kg, respectively). Factors assessed were: comparative energy expenditure of the two sets, relationship between comparative energy expenditure and aerobic fitness and subjective discomfort. Measured variables were: oxygen consumption, heart rate, estimated VO2max and subjective discomfort (body part discomfort scale). The lightweight SCBA displayed a significant oxygen consumption benefit, which was independent of dynamic workrate and valued at 0.2561 min(-1). Mean heart rate responses were significantly lower with the light set. No relationship was found between comparative energy expenditure and aerobic fitness. The light set was rated as significantly more comfortable than the heavy. Further research is required to assess the extent of the energy consumption benefit in realistic fire suppression protocols and the contribution of ergonomic factors to the energy and comfort benefits.     

Work tolerance and subjective responses to wearing protective clothing and respirators during physical work

This study examined work tolerance and subjective responses while performing two levels of work and wearing four types of protective ensembles. Nine males (mean age = 24·8 years, weight = 75·3 kg, [Vdot]O₂ max = 44·6 ml/kg min) each performed a series of eight experimental tests in random order, each lasting up to 180 min in duration. Work was performed on a motor-driven treadmill at a set walking speed and elevation which produced work intensities of either 30% or 60% of each subject's maximum aerobic capacity. Work/rest intervals were established based on anticipated SCBA refill requirements. Environmental temperature averaged 22·6°C and average relative humidity was 55%. The four protective ensembles were: a control ensemble consisting of light work clothing (CONTROL); light work clothing with an open circuit self-contained breathing apparatus (SCBA); firefighter's turnout gear with SCBA (FF); and chemical protective clothing with SCBA (CHEM). Test duration (tolerance time) was determined by physiological responses reaching a predetermined indicator of high stress or by a 180-min limit. Physiological and subjective measurements obtained every 2·5 min included: heart rate, skin temperature, rectal temperature, and subjective ratings of perceived exertion, thermal sensation, and perspiration.

The mean tolerance times were 155, 130, 26, and 73 min, respectively, for the CONTROL, SCBA, FF, and CHEM conditions during low intensity work; and 91, 23, 4, and 13 min, respectively, during high intensity work. Differences between ensemble and work intensity were significant FF and CHEM heart rate responses did not reach a steady state, and rose rapidly compared to CONTROL and SCBA values. SCBA heart rates remained approximately 15 beats higher than the CONTROL ensemble during the tests. At the low work intensity, mean skin.     

Field evaluation of a new prototype self-contained breathing apparatus

Firefighters are required to use a self-contained breathing apparatus (SCBA) for respiratory protection when engaged in a variety of firefighting duties. While the SCBA provides crucial respiratory support and protection, it is also cumbersome and heavy, thus adding to the physical work performed by the firefighter. The purpose of the present study was to evaluate and compare the low profile SCBA prototype to a standard SCBA, as assessed by the objective and subjective measures of mobility and comfort, time of donning/doffing, as well as by acquiring user feedback on SCBA design features during field activities. The results of the present study indicated that the prototype SCBA was rated as a significant improvement over the standard SCBA in the areas of range of motion (ROM), mobility, comfort, induction of fatigue, interaction with protective clothing, and operability when worn over a standard firefighter ensemble, while performing a series of International Association of Fire Fighters Fire Ground Survival Program training exercises. STATEMENT OF RELEVANCE: A prototype SCBA was evaluated and compared with a standard SCBA, focusing on the objective and subjective measures of mobility and comfort during field activities. Feedback from end users was collected during the evaluation. The findings of the present study can be used for improving the system design and overall performance of new prototype SCBAs.     

Psychophysiological responses in experienced firefighters undertaking repeated self-contained breathing apparatus tasks

In order to safely and effectively extinguish fires and rescue life, firefighters are required to routinely wear self-contained breathing apparatus (SCBA), yet little is known about the specific physiological and psychological demands associated with repeated exposure to tasks that require SCBA. A total of 12 experienced firefighters took part in a series of commonly encountered SCBA activities: free search, guideline search and live firefighting tasks under room temperature (～20°C) and extreme heat (～180°C) conditions to assess changes in heart rate, blood pressure, mood, perceived workload and air usage. Findings demonstrate that live firefighting is associated with greater perceived exhaustion than free search or guideline exercises; however, all tasks lead to high cardiovascular demand regardless of the presence of heat. No significant impact of task upon mood and no significant differences between the perceived demands of guideline, free search and live firefighting exercises were found.

Practitioner Summary: This study considered the physiological and psychological responses of firefighters undertaking SCBA exercises. Although live firefighting is associated with greater perceived exertion, the absence of differences in psychological domains between exercises demonstrates that task demands are not always dependent upon the presence of fire and that all tasks are mentally challenging.     

Work tolerance and subjective responses to wearing protective clothing and respirators during physical work

This study examined work tolerance and subjective responses while performing two levels of work and wearing four types of protective ensembles. Nine males (mean age = 24.8 years, weight = 75.3 kg, VO2 max = 44.6 ml/kg min) each performed a series of eight experimental tests in random order, each lasting up to 180 min in duration. Work was performed on a motor-driven treadmill at a set walking speed and elevation which produced work intensities of either 30% or 60% of each subject's maximum aerobic capacity. Work/rest intervals were established based on anticipated SCBA refill requirements. Environmental temperature averaged 22.6 degrees C and average relative humidity was 55%. The four protective ensembles were: a control ensemble consisting of light work clothing (CONTROL); light work clothing with an open circuit self-contained breathing apparatus (SCBA); firefighter's turnout gear with SCBA (FF); and chemical protective clothing with SCBA (CHEM). Test duration (tolerance time) was determined by physiological responses reaching a predetermined indicator of high stress or by a 180-min limit. Physiological and subjective measurements obtained every 2.5 min included: heart rate, skin temperature, rectal temperature, and subjective ratings of perceived exertion, thermal sensation, and perspiration. The mean tolerance times were 155, 130, 26, and 73 min, respectively, for the CONTROL, SCBA, FF, and CHEM conditions during low intensity work; and 91, 23, 4, and 13 min, respectively, during high intensity work. Differences between ensemble and work intensity were significant. FF and CHEM heart rate responses did not reach a steady state, and rose rapidly compared to CONTROL and SCBA values. SCBA heart rates remained approximately 15 beats higher than the CONTROL ensemble during the tests. At the low work intensity, mean skin temperatures at the end of the test were 32.7, 33.1, 36.7, and 36.3 degrees C, while mean core temperatures were 37.6, 37.9, 37.9, and 38.5 degrees C, respectively. The subjective data indicated that, in general, subjects were able to perceive relative degrees of physiologic strain under laboratory conditions. Wearing protective clothing and respirators results in significant and potentially dangerous thermoregulatory and cardiovascular stress to the wearer even at low work intensities in a neutral environment. Physiologically and subjectively, firefighter's turnout gear (the heaviest ensemble) produced the most stress, followed by the CHEM, SCBA, and CONTROL protective ensembles.     

Review of: “Machine Intelligence 7”. Edited by Bernard Meltzeb and Donald Michie.(Edinburgh University Press, 1972.) [Pp. xiv+485.] £12.00.

To better assess the energy expenditure and exertion of firefighters during simulated firefighting activities, a commercial firefighter self-contained breathing apparatus (SCBA) facepiece was modified to interface with a portable metabolic monitoring device (Cosmed K4b²) while still functioning as a positive pressure SCBA air supply. To validate the device, standard National Fire Protection Association 1981 SCBA function tests were conducted and 14 subjects performed variable-workload assessments using all combinations of two test devices (Cosmed K4b² and metabolic cart) and two masks (modified SCBA facepiece and stock manufacturer-supplied breath collection). Metabolic data collected with the Cosmed K4b² via the modified facepiece were found to be accurate when compared to a ParvoMedics Truemax 2400 metabolic cart (average per cent difference: 4.6%). This modified facepiece design is suitable for use in metabolic studies requiring the utilisation of an SCBA system. Furthermore, the well-established overestimation of oxygen consumption from the Cosmed K4b² system was replicated.     

The effect of firefighter personal protective equipment on static and dynamic balance

Abstract

Firefighters work in unpredictable conditions, necessitating the use of personal protective equipment (PPE). However, the additional weight from the PPE and self-contained breathing apparatus (SCBA) alters their centre of mass (COM), restricts movement and limits vision (face mask) contributing to a firefighters’ challenge of maintaining balance. Thus, the purpose of this study was to quantify the effects of firefighter PPE on static and dynamic balance. Participants performed two sets of three functional balance tests: (1) Static Single Leg (SSL); (2) Dynamic Single Leg (DSL); (3) Limits of Stability (LOS). The balance tests were performed under one control and three randomised PPE conditions: (1) athletic clothing; (2) turnouts; (3) turnouts?+?SCBA; (4) turnouts?+?SCBA?+?face mask. Our study found turnouts?+?SCBA both with and without the face mask negatively affected dynamic balance. These findings identify factors in fall-related injuries and strategies to reduce occupational risk.

Practitioner summary: Slips, trips and falls are the most common cause of injury in firefighters. Our study investigated the effects of firefighter personal protective equipment (PPE) on static and dynamic balance utilising a computerised balance instrument. We found that turnouts with a self-contained breathing apparatus (SCBA) with or without face mask negatively affected balance.     

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXTPPE and GXTPT). Maximal oxygen consumption (VO2max) during GXTPPE was 17.3% lower than the GXTPT in regular exercise clothing (43.0 +/- 5.7 vs. 52.4 +/- 8.5 ml/kg per min, respectively). The lower VO2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 +/- 18.0 vs. 167.1 +/- 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 +/- 10.4 vs. 3.2 +/- 0.4 l). Breathing frequency at peak exercise was unchanged (55 +/- 7 vs. 53 +/- 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.     

Physiological response to firefighting activities of various work cycles using extended duration and prototype SCBA

Firefighters’ self-contained breathing apparatus (SCBA) protects the respiratory system during firefighting but increases the physiological burden. Extended duration SCBA (>30 min) have increased air supply, potentially increasing the duration of firefighting work cycles. To examine the effects of SCBA configuration and work cycle (length and rest), 30 firefighters completed seven trials using different SCBA and one or two bouts of simulated firefighting following work cycles common in the United States. Heart rate, core temperature, oxygen consumption, work output and self-reported perceptions were recorded during all activities. Varying SCBA resulted in few differences in these parameters. However, during a second bout, work output significantly declined while heart rates and core temperatures were elevated relative to a single bout. Thirty seven per cent of the subjects were unable to complete the second bout in at least one of the two-bout conditions. These firefighters had lower fitness and higher body mass than those who completed all assigned tasks.

Practitioner Summary: The effects of extended duration SCBA and work/rest cycles on physiological parameters and work output have not been examined. Cylinder size had minimal effects, but extended work cycles with no rest resulted in increased physiological strain and decreased work output. This effect was more pronounced in firefighters with lower fitness.     

Impact of SCBA size and fatigue from different firefighting work cycles on firefighter gait

Risk of slips, trips and falls in firefighters maybe influenced by the firefighter’s equipment and duration of firefighting. This study examined the impact of a four self-contained breathing apparatus (SCBA) three SCBA of increasing size and a prototype design and three work cycles one bout (1B), two bouts with a five-minute break (2B) and two bouts back-to-back (BB) on gait in 30 firefighters. Five gait parameters (double support time, single support time, stride length, step width and stride velocity) were examined pre- and post-firefighting activity. The two largest SCBA resulted in longer double support times relative to the smallest SCBA. Multiple bouts of firefighting activity resulted in increased single and double support time and decreased stride length, step width and stride velocity. These results suggest that with larger SCBA or longer durations of activity, firefighters may adopt more conservative gait patterns to minimise fall risk.

Practitioner Summary: The effects of four self-contained breathing apparatus (SCBA) and three work cycles on five gait parameters were examined pre- and post-firefighting activity. Both SCBA size and work cycle affected gait. The two largest SCBA resulted in longer double support times. Multiple bouts of activity resulted in more conservative gait patterns.     

Hyperoxia improves maximal exercise with the self-contained breathing apparatus (SCBA)

The effects of hyperoxia on maximal exercise while breathing from a self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed three graded exercise tests (GXT) for the assessment of maximal oxygen uptake (VO(2max)): two with 20.95 +/- 0.28% O(2) and the third (GXT(40)) while breathing hyperoxia (40.64 +/- 1.29% O(2)). No significant differences were found between the two normoxic tests, except for a 16W increase in maximal power output (PO(max)) in the second trial (GXT(21)). Compared to GXT(21), hyperoxia significantly increased VO(2max) and PO(max) by 10.0 +/- 3.8% and 10.2 +/- 7.1%, respectively. This was likely due to an increase in O(2) delivery as suggested by the significantly higher oxyhemoglobin saturation. The increase in VO (2max) with hyperoxia was similar to the increase in carbon dioxide production (9.3 +/- 6.5%). No other significant di.fferences were found at maximal exercise. However, at the intensity that elicited VO(2max) in GXT(21), pulmonary ventilation and SCBA mask pressure were significantly lower during GXT(40), suggesting a decrease in the work of breathing. These findings could have significant implications for occupations that involve heavy work with SCBA.     

The effect of hyperoxia on submaximal exercise with the self-contained breathing apparatus

The effects of hyperoxia on submaximal exercise with the self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed a graded exercise test for the determination of ventilatory threshold (VT) and then a submaximal practice trial with a normoxic gas mixture. The normoxic (20.93 +/- 0.22% O(2); SUB(21)) and hyperoxic (40.18 +/- 0.73% O(2); SUB(40)) submaximal trials were then administered in a random order. All exercise tests were completed on separate days while wearing firefighting gear and the SCBA. Compared with SUB(21), hyperoxia significantly reduced minute ventilation (V(E)), mask pressure (P(mask)), heart rate, blood lactate concentration, perceived exertion, and perceived breathing distress. As expected, hemoglobin saturation remained higher (p < 0.05) during SUB(40). The reductions in both V(E) and P(mask) with hyperoxia imply a reduction in the work of breathing during exercise. Total gas consumption was 10.3 +/- 8.1% lower during SUB(40) when compared to SUB(21), another finding that has significant practical implications for occupational safety.     

Kinetic changes associated with load carriage using two rucksack designs

This study assessed changes in kinetics from unloaded walking associated with load carriage using both a traditional and a new rucksack design that incorporates front balance pockets (AARN). Nine subjects walked at 3(+/-0.05) km x h(-1) over a force plate unloaded and carrying 25.6 kg in each of the rucksacks. The order of trials was randomized and speed-controlled by use of photoelectric cells and a millisecond timer. Anteroposterior and vertical ground reaction forces were analyzed using repeated measures ANCOVA (speed covariate). There was a trend for the AARN pack to elicit a shorter support time than the traditional pack, 1.025+/-0.049 versus 1.037+/-0.06 s (p = 0.056), while the unloaded condition produced the shortest support time, 1.016+/-0.04 s. Both braking and propulsive forces for the rucksacks were significantly greater than for unloaded walking. While there was no significant difference between the packs for the braking force, the AARN pack produced a significantly lower (p<0.05) propulsive force than the traditional rucksack, 0.79+/-0.2 versus 0.94+/-0.16 N x kg bodyweight(-1). Both rucksacks produced significantly greater (p<0.001) vertical force peaks than unloaded walking, the increases being proportional to the increase in system weight. These findings indicate that there may be some advantage in terms of propulsive force production for the front/back system.     

Hyperoxia improves maximal exercise with the self-contained breathing apparatus (SCBA)

The effects of hyperoxia on maximal exercise while breathing from a self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed three graded exercise tests (GXT) for the assessment of maximal oxygen uptake (Vdot;O _2max): two with 20.95 ± 0.28% O₂ and the third (GXT₄₀) while breathing hyperoxia (40.64 ± 1.29% O₂). No significant differences were found between the two normoxic tests, except for a 16W increase in maximal power output (PO_max) in the second trial (GXT₂₁). Compared to GXT₂₁, hyperoxia significantly increased Vdot;O _2max and PO_max by 10.0 ± 3.8% and 10.2 ± 7.1%, respectively. This was likely due to an increase in O₂ delivery as suggested by the significantly higher oxyhemoglobin saturation. The increase in Vdot;O _2max with hyperoxia was similar to the increase in carbon dioxide production (9.3 ± 6.5%). No other significant differences were found at maximal exercise. However, at the intensity that elicited Vdot;O _2max in GXT₂₁, pulmonary ventilation and SCBA mask pressure were significantly lower during GXT₄₀, suggesting a decrease in the work of breathing. These findings could have significant implications for occupations that involve heavy work with SCBA.     

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXT_PPE and GXT_PT). Maximal oxygen consumption (VO_2max) during GXT_PPE was 17.3% lower than the GXT_PT in regular exercise clothing (43.0 ± 5.7 vs. 52.4 ± 8.5 ml/kg per min, respectively). The lower VO_2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 ± 18.0 vs. 167.1 ± 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 ± 10.4 vs. 3.2 ± 0.4 l). Breathing frequency at peak exercise was unchanged (55 ± 7 vs. 53 ± 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO_2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.     

Kinetic changes associated with load carriage using two rucksack designs

This study assessed changes in kinetics from unloaded walking associated with load carriage using both a traditional and a new rucksack design that incorporates front balance pockets (AARN). Nine subjects walked at 3(±0.05) km.h^-1 over a force plate unloaded and carrying 25.6 kg in each of the rucksacks. The order of trials was randomized and speed-controlled by use of photoelectric cells and a millisecond timer. Anteroposterior and vertical ground reaction forces were analyzed using repeated measures ANCOVA (speed covariate). There was a trend for the AARN pack to elicit a shorter support time than the traditional pack, 1.025±0.049 versus 1.037±0.06 s (p = 0.056), while the unloaded condition produced the shortest support time, 1.016±0.04 s. Both braking and propulsive forces for the rucksacks were significantly greater than for unloaded walking. While there was no significant difference between the packs for the braking force, the AARN pack produced a significantly lower (p < 0.05) propulsive force than the traditional rucksack, 0.79±0.2 versus 0.94±0.16 N.kg bodyweight^-1. Both rucksacks produced significantly greater (p < 0.001) vertical force peaks than unloaded walking, the increases being proportional to the increase in system weight. These findings indicate that there may be some advantage in terms of propulsive force production for the front/back system.     

The effect of hyperoxia on submaximal exercise with the self-contained breathing apparatus

The e^ffects of hyperoxia on submaximal exercise with the self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed a graded exercise test for the determination of ventilatory threshold (VT) and then a submaximal practice trial with a normoxic gas mixture. The normoxic (20.93 ± 0.22% O₂ ; SUB₂₁) and hyperoxic (40.18 ± 0.73% O₂; SUB₄₀) submaximal trials were then administered in a random order. All exercise tests were completed on separate days while wearing firefighting gear and the SCBA. Compared with SUB₂₁, hyperoxia significantly reduced minute ventilation ([Vdot]_E ), mask pressure (P_mask), heart rate, blood lactate concentration, perceived exertion, and perceived breathing distress. As expected, hemoglobin saturation remained higher (p<0.05) during SUB₄₀. The reductions in both [Vdot]_E and P_mask with hyperoxia imply a reduction in the work of breathing during exercise. Total gas consumption was 10.3 ± 8.1% lower during SUB₄₀ when compared to SUB₂₁, another finding that has significant practical implications for occupational safety.