Abstract
Objective
To elucidate the role of phonation frequency (i.e., pitch) and intensity of speech on respiratory aerosol emissions during sustained phonations.
Methods
Respiratory aerosol emissions are measured in 40 (24 males and 16 females) healthy, non-trained singers phonating the phoneme /a/ at seven specific frequencies at varying vocal intensity levels.
Results
Increasing frequency of phonation was positively correlated with particle production (r = 0.28, p < 0.001). Particle production rate was also positively correlated (r = 0.37, p < 0.001) with the vocal intensity of phonation, confirming previously reported findings. The primary mode (particle diameter ~0.6 μm) and width of the particle number size distribution were independent of frequency and vocal intensity. Regression models of the particle production rate using frequency, vocal intensity, and the individual subject as predictor variables only produced goodness of fit of adjusted R2 = 40% (p < 0.001). Finally, it is proposed that superemitters be defined as statistical outliers, which resulted in the identification of one superemitter in the sample of 40 participants.
Significance
The results suggest there remain unexplored effects (e.g., biomechanical, environmental, behavioral, etc.) that contribute to the high variability in respiratory particle production rates, which ranged from 0.2 particles/s to 142 particles/s across all trials. This is evidenced as well by changes in the distribution of participant particle production that transitions to a more bimodal distribution (second mode at particle diameter ~2 μm) at higher frequencies and vocal intensity levels.
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Acknowledgements
Special thanks to Mehtap Agirsoy for her assistance with data collection.
Funding
This work was supported by the National Science Foundation [CBET:2029548].
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TA designed and performed the aerosol experiments and wrote the manuscript. MSR designed and performed the aerosol experiments and wrote the manuscript. ARF designed the aerosol experiments, provided advisement, and helped write the manuscript. AAM helped design the experiments and write the manuscript. BTH helped design the experiment, provided advisement, and helped write the manuscript. GA helped design the experiment, provided advisement, and helped write the manuscript. DS performed the statistical analysis and wrote the manuscript. SM performed the statistical analysis, provided advisement, and wrote the manuscript. DB helped design the experiment, and helped write the manuscript. BDE designed the aerosol experiments, provided advisement and project administration, and helped write the manuscript.
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Ahmed, T., Rawat, M.S., Ferro, A.R. et al. Characterizing respiratory aerosol emissions during sustained phonation. J Expo Sci Environ Epidemiol 32, 689–696 (2022). https://doi.org/10.1038/s41370-022-00430-z
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DOI: https://doi.org/10.1038/s41370-022-00430-z
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