3.1 Concentration levels of the indoor pollutants
The concentrations of all characterized pollutants during six distinct group activities are shown in Fig. 1 (a–e); Tables S3-S4 present the statistics of all data. Regarding the gaseous pollutants, the results showed that levels and the distributions of CO2 (Fig. 1a) highly varied among the different classes. Particularly intensive activities such as spinning or fitness dance exhibited markedly elevated CO2 concentrations, reaching maxima levels as high as 6323 and 6780 mg/m3. However, the mean CO2 concentrations, estimated for each type of group class, were within a range of 1368 mg/m3 (TBW) to 2727 mg/m3 (self-defence adults), generally aligning with the recommended threshold of 2250 mg/m3 for indoor air quality in public buildings (Ordinance No. 138-G/2021). Notably, self-defence classes for adult population (mean of 2720 mg/m3) was the only activity which the mean CO2 surpassed the required threshold, most likely due to the higher-class occupancy (Table 2), in agreement with other studies (Andrade et al. 2018a; Ramos et al. 2015; Slezakova et al. 2018a). For TVOCs, more concerning results were obtained. The mean TVOCs (Fig. 1b) ranged between 2.49 mg/m3 (body & mind) and 10.62 mg/m3 (self-defence for adults; 3.49 mg/m3 for kids). It is noteworthy that the protective thresholds (600 µg/m3) were exceeded by a significant margin (4–18 times) in all activity types. These results indicate that further identification of the individual VOCs is required to better identify the respective emission sources and compounds origin. While the information on VOCs during the specific physical activities is very limited, these results align with previous studies indicating the potential influence of cleaning and personal hygiene products (Claflin et al. 2021; Finewax et al. 2020; You et al. 2022), as well as human occupancy (i.e., by-products of human metabolism, breath and perspiration; Costello et al. 2014; Coffaro and Weisel 2022; Deng et al. 2022; Liu et al. 2015; Tang et al. 2016). In addition, the use of fitness equipment such as protective and support mat (e.g. utilized in self-defence classes), has been related with the emissions of VOCs due to the materials’ compositions (Claflin et al. 2021; Finewax et al. 2020; You et al. 2022).
For particulate matter (Figs. 1c, d), means and the distribution were statistically different across the six activity categories (p < 0.05). The mean PM10 ranged between 20.8 µg/m3 (TBW) – 220.8 µg/m3 (self-defence kids), while the corresponding PM2.5 means were between 9.1 µg/m3 (TBW) – 63.5 µg/m3 (self-defence adults). The results showed that the highest PM10 were observed in classes with vigorous human movements, namely self-defence (178.4 µg/m3, 220.8 µg/m3: both adults and kids), spinning (53.3 µg/m3) and dancing (52.2 µg/m3); all of which exceeded 1.1 to 4.4 times the respective protection threshold (50 µg/m3; Ordinance No. 138-G/2021). Similarly, for PM2.5, self-defence (63.5 µg/m3, 63.4 µg/m3: both adults and kids), spinning (27.6 µg/m3), dances (24.5 µg/m3) but also body & mind (27.1 µg/m3) surpassed 1.1 to 2.5 times the protective threshold of PM2.5 of 25 µg/m3. Both PM10 and PM2.5 were positively correlated with the type of different activity (Spearman correlation coefficients rs =0.410–0.984; Table S5). The indoor PM concentrations are essentially influenced by human occupancy (Slezakova et al. 2018b; Xie et al. 2021; Zhang et al. 2022) and type of activities conducted (Alves et al. 2014; Ramos et al. 2014; Qian et al. 2014; Slezakova et al. 2018a; Zitnik et al. 2016), but also by the type and frequency of ventilation (Blocken et al. 2021; Loupa et al. 2007; Montgomery et al. 2015). The highest ranges of both PM fractions were registered during the self-defence classes for adults and children population, which at the same time notably exhibited low contribution of fine particles (PM2.5: 19–48% of total PM) coarse fraction PM> 2.5−10 accounted for 52–81% (Table S5). These data are in agreement with the existing literature regarding PM exposure during martial arts or self-defence activities, which is particularly scarce (Torkmahalleh et al. 2018). On contrary to all other activities, during martial sessions participants stored their personal belongings (including backpacks, clothing, and shoes) directly in studios thus possibly leading to ambient coarse dust infiltrations (El Orch et al. 2014; Kearney et al. 2014; Leppänen et al. 2020; Morawska et al. 2013; Yuan et al. 2023); additionally, the use of specific materials (such as protective equipment and mats, tatami) led to higher coarse dust resuspensions (Torkmahalleh et al. 2018; Wang et al. 2021; Yuan et al. 2023). It is important to note that increased physical intensity during exercise leads to higher deposition of PM in the respiratory tract, thereby possibly amplifying the adverse health effects of this pollutant (Braniš et al. 2011; Buonanno et al. 2012; Slezakova et al. 2018b). Therefore, maintaining suitable indoor air quality becomes essential to guarantee healthy and comfortable conditions for all the users (Hodas et al. 2016; WHO 2018; WHO 2020). Finally, the use of aromatherapy diffusers during yoga classes (to create a relaxing environment) resulted in high PM exposure (PM2.5 accounted for 56–72% of PM10 with concentrations up to 109.47 µg/m3 for PM2.5; rs=0.984).
The mean UFP were between 6267 #/cm3 (in self-defence kids) and 9917 #/cm3 (during spinning). The results in Fig. 1e demonstrate that mean UFP were not statistically different (p > 0.05) though the UFP distribution varied between the different activities (up to 36650 #/cm3 and 28955 #/cm3 in intense and moderate activities, respectively). No significant differences in UFP levels were observed for high- and moderate-intensity classes. Typically, UFP are linked with the indoor environment chemistry materials (Azimi et al. 2014; El Orch et al. 2014; Jeong et al. 2023; Kearney et al. 2014; Marval and Tronville 2022; Nazaroff 2023); room occupancy rates and the existence of specific activities or products that can act as potential sources of secondary aerosols (Weschler 2011). However, similarly to previous studies (Peixoto et al. 2023; Slezakova et al. 2018b), no specific primary sources of UFP were identified; activities conducted in the respective indoor spaces were rather similar, both in terms of physical conditions and occupancy (Tables 1–2).
3.2 Inhalation doses
The estimated values of total inhalations doses to all pollutants during different activity types are summarized in Fig. 2a-c.
For the male gender, the means of inhaled dose (per inhaled pollutant) varied between the different age groups and the activity types as the following: 32375–74240 µg/kg for CO2, 57.60–209.16 µg/kg for TVOCs, 0.35–2.26 µg/kg for PM> 2.5−10 and 0.33–1.25 µg/kg for PM2.5 (Tables S6, S7). For females, the corresponding ranges were 30068–73349 µg/kg for CO2, 45.48–194.26 µg/kg for TVOCs, 0.32–2.10 µg/kg for PM> 2.5−10 and 0.32–1.16 µg/kg for PM2.5 (Tables S6, S7). Regarding the UFP (Tables S8, S9; Figure S1), across both genders mean inhalation doses were in a range of 138–330 #/kg for men and 128–350 #/kg for women. These results showed that in agreement with the previous study (Cui et al. 2024; Ramos et al. 2015), CO2 was the greatest contributor (99.6–99.9%; Fig. 2a), to the total inhaled dose (32433–74340 µg/kg for males; 30114–73448 µg/kg) for female being followed by TVOCs (0.13–0.39%), while PM> 2.5−10 and PM2.5, respectively accounted for 0.001–0.004% and 0.001–0.002% of the total dose. Although PM contribution to total dose was low, its deposition in the airways may increases 6- to 10-fold during the high-intensity exercise (Marmett et al. 2020) thus causing possible risks; short-term exposure to PM2.5 has been associated with greater airway and systemic inflammation and reduced lung function (Xu et al. 2018). In addition, the form (nasal or oral breathing) and the depth of inhalation is relevant (Guo et al. 2020). While exercising, oral breathing with deeper inspiration generally predominates, which can result in a greater deposition of pollutants in the lungs during sports activity (Guo et al. 2020).
The results showed that high-intensity classes resulted in 1.4–1.6 times higher inhaled doses than moderate-intensity classes (Fig. 2a), mainly due to increased ventilation (Cui et al. 2024; Lathouwers et al. 2021; Marmett et al. 2020, 2021; Ramos et al. 2015; Velasco et al. 2019). Dance fitness class led to the highest exposures (male gender: 74340 µg/kg; female gender: 73448 µg/kg) while the lowest ones were obtained during body & mind (male gender: 32433 µg/kg; female gender: 30114 µg/kg). The dose of pollutants inhaled not only depends on the concentration of each pollutant and exposure time but also varies based on gender and age (USEPA 2009). Figure 2a illustrates that, on average, males tend to inhale higher doses of pollutants compared to females. Specifically, in moderate-intensity scenarios, the total inhaled dose for men was 8% higher than for women, whereas in high-intense scenarios, the gender-difference was approximately 1%. This trend was attributed to a greater inspiratory load in males (Guo et al. 2020), while women may experience greater limitations in expiratory flow and exert more effort to breathe (Guo et al. 2020; Harms et al. 2006). Conversely, in the age groups of 16 to < 21 and 21 to < 31 years, the total inhaled dose was higher for women than for men, most likely due to differences in respiratory physiology, ventilation rates, and hormone levels. In activities of greater intensity and effort, reproductive hormones (estrogen and progesterone) influence ventilation and lung function (Harms et al. 2006; Ramos et al. 2015); changes in hormone levels during different stages of the menstrual cycle, pregnancy, and menopause can also affect respiratory mechanics and gas exchange (Harms et al. 2006). As individuals age, there is often a decrease in the inhaled dose due to improved efficiency of breathing and oxygen uptake; however, this trend may vary depending on the intensity and type of activity. However, 1.01–1.19 times higher doses were observed for young (16–21 years old) than older adults.
Finally, considering the child population (Figs. 2c, S2, Tables S10, S11), the inhaled doses were up to 2.17–2.19 times higher than of adult females and males, respectively, resulting from the high concentrations observed during the respective classes. Children are at enlarged risk due to their increased inhaled rates (i.e., children’s physiologic needs for more air per kilogram of body weight compared with adults) coupled with increased vulnerability (Madureira et al. 2020; Voliotis et al. 2021).
Performing physical activity in environments with polluted air has negative consequences for the health of susceptible populations (Giles and Koehle 2014; Sinharay et al. 2018; Tainio et al. 2021), with the higher infection risk for the population that practices higher intensity exercises (Andrade et al. 2018b; Cui et al. 2024). Nevertheless, it needs to be emphasized that for environments with air pollution above the protection threshold, light to moderate exercise still has positive health benefits (Schraufnagel et al. 2019; Tainio et al. 2016, 2021). However, for long-term exposure, the negative effects on health then could be considerable, emphasising the necessity to optimize indoor air quality in the sport and HC environment (Cui et al. 2024).